Russia Travel Health Insurance – Country Review

Learn more about Russia Travel Health Insurance with an overview from the CDC and the US State Department.  Here we cover Vaccines, Medicines and Insurance.

At AardvarkCompare we suggest that our customers take travel insurance with them when they leave their home. Whether you are on a business trip or family vacation, having sufficient travel insurance is an essential requirement. What’s even better than having great travel insurance, is not needing to use it.  The following advice should help you make the most of your trip to Russia.

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Russia Travel Health – CDC

Vaccines and Medicines

Check the vaccines and medicines list and visit your doctor (ideally, 4-6 weeks) before your trip to get vaccines or medicines you may need.

Routine vaccines

Make sure you are up-to-date on routine vaccines before every trip. These vaccines include measles-mumps-rubella (MMR) vaccine, diphtheria-tetanus-pertussis vaccine, varicella (chickenpox) vaccine, polio vaccine, and your yearly flu shot.

Some travelers

Ask your doctor what vaccines and medicines you need based on where you are going, how long you are staying, what you will be doing, and if you are traveling from a country other than the US.

Hepatitis A

Hepatitis A outbreaks occur throughout the world and sometimes in countries with a low risk for hepatitis A (including the US). You can get hepatitis A through contaminated food or water in Russia, so talk to your doctor to see if the hepatitis A vaccine is right for you.

Hepatitis B

You can get hepatitis B through sexual contact, contaminated needles, and blood products, so CDC recommends this vaccine if you might have sex with a new partner, get a tattoo or piercing, or have any medical procedures.

Rabies

Although rabies can be found in dogs, bats, and other mammals in Russia, it is not a major risk to most travelers. CDC recommends rabies vaccine for only these groups:

  • Travelers involved in activities that put them at risk for animal bites (such as adventure travel and caving).
  • People who will be working with or around animals (such as veterinarians, wildlife professionals, and researchers).
  • People who are taking long trips or moving to remote areas in Russia.
  • Children, because they tend to play with animals, might not report bites, and are more likely to have animal bites on their head and neck.
  • FOR TRAVELERS TO CAUCASUS REGION: CDC also recommends rabies vaccine for travelers involved in other outdoor activities (such as camping, hiking, and biking) and most long-term travelers.

Stay Healthy and Safe

Learn actions you can take to stay healthy and safe on your trip. Vaccines cannot protect you from many diseases in Russia, so your behaviors are important.

Eat and drink safely

Unclean food and water can cause travelers’ diarrhea and other diseases. Reduce your risk by sticking to safe food and water habits.

Eat

  • Food that is cooked and served hot
  • Hard-cooked eggs
  • Fruits and vegetables you have washed in clean water or peeled yourself
  • Pasteurized dairy products

Don’t Eat

  • Food served at room temperature
  • Food from street vendors
  • Raw or soft-cooked (runny) eggs
  • Raw or undercooked (rare) meat or fish
  • Unwashed or unpeeled raw fruits and vegetables
  • Unpasteurized dairy products
  • ”Bushmeat” (monkeys, bats, or other wild game)

Drink

  • Bottled water that is sealed
  • Water that has been disinfected
  • Ice made with bottled or disinfected water
  • Carbonated drinks
  • Hot coffee or tea
  • Pasteurized milk

Don’t Drink

  • Tap or well water
  • Ice made with tap or well water
  • Drinks made with tap or well water (such as reconstituted juice)
  • Unpasteurized milk

Take Medicine

Talk with your doctor about taking prescription or over-the-counter drugs with you on your trip in case you get sick.

Prevent bug bites

Bugs (like mosquitoes, ticks, and fleas) can spread a number of diseases in Russia. Many of these diseases cannot be prevented with a vaccine or medicine. You can reduce your risk by taking steps to prevent bug bites.

What can I do to prevent bug bites?

  • Cover exposed skin by wearing long-sleeved shirts, long pants, and hats.
  • Use an appropriate insect repellent (see below).
  • Consider using permethrin-treated clothing and gear if spending a lot of time outside. Do not use permethrin directly on skin.

What type of insect repellent should I use?

  • FOR PROTECTION AGAINST TICKS AND MOSQUITOES: Use a repellent that contains 20% or more DEET for protection that lasts up to several hours.
  • FOR PROTECTION AGAINST MOSQUITOES ONLY: Products with one of the following active ingredients can also help prevent mosquito bites. Higher percentages of active ingredient provide longer protection.
    • DEET
    • Picaridin (also known as KBR 3023, Bayrepel, and icaridin)
    • Oil of lemon eucalyptus (OLE) or PMD
    • IR3535
  • Always use insect repellent as directed.

What should I do if I am bitten by bugs?

  • Avoid scratching bug bites, and apply hydrocortisone cream or calamine lotion to reduce the itching.
  • Check your entire body for ticks after outdoor activity. Be sure to remove ticks properly.

What can I do to avoid bed bugs?

Although bed bugs do not carry disease, they are an annoyance. See our information page about avoiding bug bites for some easy tips to avoid them. For more information on bed bugs, see Bed Bugs.

For more detailed information on avoiding bug bites, see Avoid Bug Bites.

Stay safe outdoors

If your travel plans in Russia include outdoor activities, take these steps to stay safe and healthy during your trip.

  • Stay alert to changing weather conditions and adjust your plans if conditions become unsafe.
  • Prepare for activities by wearing the right clothes and packing protective items, such as bug spray, sunscreen, and a basic first aid kit.
  • Consider learning basic first aid and CPR before travel. Bring a travel health kit with items appropriate for your activities.
  • Heat-related illness, such as heat stroke, can be deadly. Eat and drink regularly, wear loose and lightweight clothing, and limit physical activity during high temperatures.
    • If you are outside for many hours in heat, eat salty snacks and drink water to stay hydrated and replace salt lost through sweating.
  • Protect yourself from UV radiation: use sunscreen with an SPF of at least 15, wear protective clothing, and seek shade during the hottest time of day (10 a.m.–4 p.m.).
  • Be especially careful during summer months and at high elevation. Because sunlight reflects off snow, sand, and water, sun exposure may be increased during activities like skiing, swimming, and sailing.
  • Very cold temperatures can be dangerous. Dress in layers and cover heads, hands, and feet properly if you are visiting a cold location.

Stay safe around water

  • Swim only in designated swimming areas. Obey lifeguards and warning flags on beaches.
  • Practice safe boating—follow all boating safety laws, do not drink alcohol if driving a boat, and always wear a life jacket.
  • Do not dive into shallow water.
  • Do not swim in freshwater in developing areas or where sanitation is poor.
  • Avoid swallowing water when swimming. Untreated water can carry germs that make you sick.
  • To prevent infections, wear shoes on beaches where there may be animal waste.

Keep away from animals

Most animals avoid people, but they may attack if they feel threatened, are protecting their young or territory, or if they are injured or ill. Animal bites and scratches can lead to serious diseases such as rabies.

Follow these tips to protect yourself:

  • Do not touch or feed any animals you do not know.
  • Do not allow animals to lick open wounds, and do not get animal saliva in your eyes or mouth.
  • Avoid rodents and their urine and feces.
  • Traveling pets should be supervised closely and not allowed to come in contact with local animals.
  • If you wake in a room with a bat, seek medical care immediately. Bat bites may be hard to see.

All animals can pose a threat, but be extra careful around dogs, bats, monkeys, sea animals such as jellyfish, and snakes. If you are bitten or scratched by an animal, immediately:

  • Wash the wound with soap and clean water.
  • Go to a doctor right away.
  • Tell your doctor about your injury when you get back to the United States.

Consider buying medical evacuation insurance. Rabies is a deadly disease that must be treated quickly, and treatment may not be available in some countries.

Reduce your exposure to germs

Follow these tips to avoid getting sick or spreading illness to others while traveling:

  • Wash your hands often, especially before eating.
  • If soap and water aren’t available, clean hands with hand sanitizer (containing at least 60% alcohol).
  • Don’t touch your eyes, nose, or mouth. If you need to touch your face, make sure your hands are clean.
  • Cover your mouth and nose with a tissue or your sleeve (not your hands) when coughing or sneezing.
  • Try to avoid contact with people who are sick.
  • If you are sick, stay home or in your hotel room, unless you need medical care.

Avoid sharing body fluids

Diseases can be spread through body fluids, such as saliva, blood, vomit, and semen.

Protect yourself:

  • Use latex condoms correctly.
  • Do not inject drugs.
  • Limit alcohol consumption. People take more risks when intoxicated.
  • Do not share needles or any devices that can break the skin. That includes needles for tattoos, piercings, and acupuncture.
  • If you receive medical or dental care, make sure the equipment is disinfected or sanitized.

Know how to get medical care while traveling

Plan for how you will get health care during your trip, should the need arise:

  • Carry a list of local doctors and hospitals at your destination.
  • Review your health insurance plan to determine what medical services it would cover during your trip. Consider purchasing travel health and medical evacuation insurance.
  • Carry a card that identifies, in the local language, your blood type, chronic conditions or serious allergies, and the generic names of any medications you take.
  • Some prescription drugs may be illegal in other countries. Call Russia’s embassy to verify that all of your prescription(s) are legal to bring with you.
  • Bring all the medicines (including over-the-counter medicines) you think you might need during your trip, including extra in case of travel delays. Ask your doctor to help you get prescriptions filled early if you need to.

Many foreign hospitals and clinics are accredited by the Joint Commission International. A list of accredited facilities is available at their website (www.jointcommissioninternational.org).

In some countries, medicine (prescription and over-the-counter) may be substandard or counterfeit. Bring the medicines you will need from the United States to avoid having to buy them at your destination.

Select safe transportation

Motor vehicle crashes are the #1 killer of healthy US citizens in foreign countries.

In many places cars, buses, large trucks, rickshaws, bikes, people on foot, and even animals share the same lanes of traffic, increasing the risk for crashes.

Walking

Be smart when you are traveling on foot.

  • Use sidewalks and marked crosswalks.
  • Pay attention to the traffic around you, especially in crowded areas.
  • Remember, people on foot do not always have the right of way in other countries.

Riding/Driving

Choose a safe vehicle.

  • Choose official taxis or public transportation, such as trains and buses.
  • Ride only in cars that have seatbelts.
  • Avoid overcrowded, overloaded, top-heavy buses and minivans.
  • Avoid riding on motorcycles or motorbikes, especially motorbike taxis. (Many crashes are caused by inexperienced motorbike drivers.)
  • Choose newer vehicles—they may have more safety features, such as airbags, and be more reliable.
  • Choose larger vehicles, which may provide more protection in crashes.

Think about the driver.

  • Do not drive after drinking alcohol or ride with someone who has been drinking.
  • Consider hiring a licensed, trained driver familiar with the area.
  • Arrange payment before departing.

Follow basic safety tips.

  • Wear a seatbelt at all times.
  • Sit in the back seat of cars and taxis.
  • When on motorbikes or bicycles, always wear a helmet. (Bring a helmet from home, if needed.)
  • Avoid driving at night; street lighting in certain parts of Russia may be poor.
  • Do not use a cell phone or text while driving (illegal in many countries).
  • Travel during daylight hours only, especially in rural areas.
  • If you choose to drive a vehicle in Russia, learn the local traffic laws and have the proper paperwork.
  • Get any driving permits and insurance you may need. Get an International Driving Permit (IDP). Carry the IDP and a US-issued driver’s license at all times.
  • Check with your auto insurance policy’s international coverage, and get more coverage if needed. Make sure you have liability insurance.

Flying

  • Avoid using local, unscheduled aircraft.
  • If possible, fly on larger planes (more than 30 seats); larger airplanes are more likely to have regular safety inspections.
  • Try to schedule flights during daylight hours and in good weather.

Medical Evacuation Insurance

If you are seriously injured, emergency care may not be available or may not meet US standards. Trauma care centers are uncommon outside urban areas. Having medical evacuation insurance can be helpful for these reasons.

Helpful Resources

Road Safety Overseas (Information from the US Department of State): Includes tips on driving in other countries, International Driving Permits, auto insurance, and other resources.

The Association for International Road Travel has country-specific Road Travel Reports available for most countries for a minimal fee.

Maintain personal security

Use the same common sense traveling overseas that you would at home, and always stay alert and aware of your surroundings.

Before you leave

  • Research your destination(s), including local laws, customs, and culture.
  • Monitor travel warnings and alerts and read travel tips from the US Department of State.
  • Enroll in the Smart Traveler Enrollment Program (STEP).
  • Leave a copy of your itinerary, contact information, credit cards, and passport with someone at home.
  • Pack as light as possible, and leave at home any item you could not replace.

While at your destination(s)

  • Carry contact information for the nearest US embassy or consulate.
  • Carry a photocopy of your passport and entry stamp; leave the actual passport securely in your hotel.
  • Follow all local laws and social customs.
  • Do not wear expensive clothing or jewelry.
  • Always keep hotel doors locked, and store valuables in secure areas.
  • If possible, choose hotel rooms between the 2nd and 6th floors.

Healthy Travel Packing List

Use the Healthy Travel Packing List for Russia for a list of health-related items to consider packing for your trip. Talk to your doctor about which items are most important for you.

Why does CDC recommend packing these health-related items?

It’s best to be prepared to prevent and treat common illnesses and injuries. Some supplies and medicines may be difficult to find at your destination, may have different names, or may have different ingredients than what you normally use.

After Your Trip

If you are not feeling well after your trip, you may need to see a doctor. If you need help finding a travel medicine specialist, see Find a Clinic. Be sure to tell your doctor about your travel, including where you went and what you did on your trip. Also tell your doctor if you were bitten or scratched by an animal while traveling.

For more information on what to do if you are sick after your trip, see Getting Sick after Travel.

Russia Travel Health – The US State Department

U.S.-RUSSIA RELATIONS

Russia recognized the United States on October 28, 1803, and diplomatic relations between the United States and Russia were formally established in 1809. Diplomatic relations were interrupted following the 1917 Bolshevik Revolution.

On December 6, 1917, President Woodrow Wilson instructed all American diplomatic representatives in Russia to refrain from any direct communication with representatives of the Bolshevik Government. Although diplomatic relations were never formally severed, the United States refused to recognize or have any formal relations with the Bolshevik/Soviet governments until 1933.

Normal diplomatic relations were resumed on November 16, 1933, when President Franklin Roosevelt informed Soviet Foreign Minister Maxim Litvinov that the United States recognized the Government of the Union of Soviet Socialist Republics and wished to re-establish normal diplomatic relations.

Russian and The Soviet Union

On December 25, 1991, the United States recognized the Russian Federation as the successor to the Soviet Union, when President George H.W. Bush announced the decision in an address to the nation. President Bush also announced that the Embassy in Moscow would remain in place as the American Embassy to the Russian Federation. The United States and the Russian Federation established diplomatic relations on December 31, 1991.

The United States has long sought a full and constructive relationship with Russia. Following the dissolution of the Soviet Union in 1991, the United States adopted a bipartisan strategy to facilitate cooperation on global issues and promote foreign investment and trade. The United States supported Russia’s integration into European and global institutions and a deepened bilateral partnership in security cooperation to reinforce the foundations of stability and predictability.

Russia and Ukraine

In response to the Russian violation in 2014 of Ukraine‘s sovereignty and territorial integrity, however, the United States downgraded the bilateral political and military relationship and suspended the Bilateral Presidential Commission, a body jointly founded in 2009 by the United States and Russia to promote cooperation between the two countries. In addition to ongoing Russian aggression in Georgia and Ukraine, Russia is willing to undermine norms within the existing international system beyond traditional military campaigns to encompass a suite of “hybrid” tools that are used to gain influence. Russia’s campaign aims to undermine core institutions of the West, such as NATO and the EU, and to weaken faith in the democratic and free-market system.

The United States has sought to deter further Russian intervention through the projection of strength and unity with U.S. allies, and by building resilience and reducing vulnerability among allies facing Russian pressure and coercion. The United States would like to move beyond the current low level of trust with Russia, stabilize our relationship, and cooperate where possible and when in core U.S. national security interests. To achieve this, Russia must take demonstrable steps to show they are willing to be a responsible global actor, starting with a cessation of efforts to interfere in democratic processes.

The long-term goal of the United States is to see Russia become a constructive stakeholder in the global community. The United States seeks to nurture historically strong ties with the Russian people and civil society.

Bilateral Economic Relations

In response to Russia’s ongoing violations of Ukraine’s sovereignty and territorial integrity, including Russia’s occupation and attempted annexation of Crimea, the United States has suspended most bilateral engagement with the Russian government on economic issues.

The United States continues to investigate allegations of mistreatment of or discrimination against U.S. investors in Russia and to urge Russia to improve its investment climate, adherence to the rule of law, and transparency. In Russia, the U.S. Commercial Service continues to assist U.S. firms interested in developing market opportunities that do not violate sanctions.

Russian Sanctions

In 2014, the United States and our European and G-7 partners imposed sanctions on Russia for its intervention in eastern Ukraine and occupation of Crimea. Sectoral sanctions have reduced Russia’s ability to access financing in the financial, energy, and defense sectors, as well as limited its access to certain technologies in those sectors.

A combination of low oil prices, structural limitations, and sanctions pushed Russia into a deep recession in 2015, with the economy contracting by four percent and one percent in 2016. In response, Russia has imposed a number of counter sanctions on U.S. and European goods, most notably in the agricultural sector. In 2017, the economy returned to modest growth of 1.7 percent, according to the World Bank.

Russia’s Status in International Organizations

Russia is one of five permanent members of the UN Security Council. It lost a re-election bid to the UN Human Rights Council in a competitive race in 2016. Russia’s participation in the G8 (now G-7) was suspended in March 2014 in response to its purported annexation of Crimea. For the same reason, the Parliamentary Assembly of the Council of Europe (PACE) stripped Russia of its voting rights in that body in April 2014. Since then, Russia has opted not to send Duma delegations to PACE sessions even though it was welcomed to continue to participate in debate.

Russia remains a member state in the Council of Europe. Although Russia is not a member of NATO, NATO suspended all practical civilian and military cooperation with Russia as a result of Russia’s 2014 actions in Ukraine; however, political and military channels of communication between NATO and Russia remain open.

Russia is a participating State in the Organization for Security and Cooperation in Europe (OSCE). It is also a member of the Asia-Pacific Economic Cooperation (APEC), the ASEAN Regional Forum (ARF), and East Asia Summit (EAS), and an observer state to the Organization of Islamic Cooperation (OIC). The country participates in the Quartet on the Middle East and the Six-party Talks with North Korea. Russia also takes part in a number of regional organizations including the Commonwealth of Independent States (CIS), the Eurasian Economic Community, the Collective Security Treaty Organization (CSTO), and the Shanghai Cooperation Organization (SCO).

Bilateral Representation

Russia maintains an embassy in the United States at 2650 Wisconsin Ave, Washington, DC 20007, tel. (202) 298-5700.

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